CAJ | 학술논문

目的：了解杭州市企业职工代谢综合征（MS）患病状况及代谢综合征相关亚型分布。方法采用社区健康干预（CIH）项目基线调查方法，依据国际糖尿病联盟（IDF）标准，对杭州市2009-2010年3个城区的12家企业单位2066名在职职工进行自填式问卷调查及相关指标检测。结果杭州市企业职工MS患病率为10.72％，标化率为13.48％；随着年龄的增高，腰围（WC）、血压（BP）、空腹血糖（FPG）、甘油三酯（TG）、高密度脂蛋白（HDL-C）等5项组份及MS患病率均呈逐步增高（P＜0.05），男性BP、FPG、TG、HDL-C等4项组份患病率均高于女性（P＜0.05），低学历企业职工BP、FPG两项指标高于高学历人群（P＜0.05）；各亚型MS中，TG＋HDL-C、BP＋HDL-C、BP＋TG＋HDL-C、BP＋FPG＋TG＋HDL-C均高于10.00％。结论杭州市企业职工MS患病率较高，男性及高年龄组人群具有较高的患病风险；TG＋HDL-C可能为杭州市企业职工MS的主要组份。
목적：료해항주시기업직공대사종합정（MS）환병상황급대사종합정상관아형분포。방법채용사구건강간예（CIH）항목기선조사방법，의거국제당뇨병련맹（IDF）표준，대항주시2009-2010년3개성구적12가기업단위2066명재직직공진행자전식문권조사급상관지표검측。결과항주시기업직공MS환병솔위10.72％，표화솔위13.48％；수착년령적증고，요위（WC）、혈압（BP）、공복혈당（FPG）、감유삼지（TG）、고밀도지단백（HDL-C）등5항조빈급MS환병솔균정축보증고（P＜0.05），남성BP、FPG、TG、HDL-C등4항조빈환병솔균고우녀성（P＜0.05），저학력기업직공BP、FPG량항지표고우고학력인군（P＜0.05）；각아형MS중，TG＋HDL-C、BP＋HDL-C、BP＋TG＋HDL-C、BP＋FPG＋TG＋HDL-C균고우10.00％。결론항주시기업직공MS환병솔교고，남성급고년령조인군구유교고적환병풍험；TG＋HDL-C가능위항주시기업직공MS적주요조빈。
Objective To understand the epidemic status of metabolic syndrome among Hangzhou enterprise workers and to describe the distribution of metabolic -related subtypes.Methods 2 066 employees were recruited from 1 2 enterprises and institutions in three districts of Hangzhou city.A standardized self-administered questionnaire was conducted and metabolic-related anthropometric measurements were taken.Metabolic syndrome was defined according to the International Diabetes Federation (IDF)(2005 standards).Results Prevalence of metabolic syndrome in Hangzhou enterprise workers was 1 0.72%,the standardized rate was 1 3.48%;levels of waist circumference,blood pressure,blood FPGcose, triglycerides,high-density lipoprotein and prevalence of metabolic syndrome of high age group were significantly higher than the low age group(P<0.05 ).Levels of blood pressure,blood FPGcose,triglycerides,high-density lipoprotein of males were significantly higher than females (P <0.05 ).Levels of blood FPGcose of low -educated group were significantly higher than that in high-educated group (P<0.05 ),while triglycerides level was lower than high-educated group (P<0.05 ).In subtypes of metabolic syndrome,the prevalence of TG plus HDL,BP plus HDL,BP TG plus HDL and BP FPG TG plus HDL were higher than 1 0.00%.Conclusion Prevalence of metabolic syndrome in Hangzhou enterprise workers is high;male and older-group has a higher risk;TG plus HDL may be the main metabolic syndrome subtype.